Comparative analysis of the safety and efficacy of 1470-nm diode laser enucleation of the prostate and plasmakinetic resection of prostate in the treatment of large volume benign prostatic hyperplasia (>80 ml)
Objective To compare the efficacy and safety of 1470-nm diode laser enucleation of the prostate (DiLEP) with that of plasmakinetic resection of the prostate (PKRP) in treating patients with large benign prostatic hyperplasia (BPH > 80ml).Methods The clinical data from 211 cases of BPH (>80 ml)...
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Taylor & Francis Group
2024-12-01
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| Series: | The Aging Male |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/13685538.2023.2257307 |
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| author | Xiao Xiao Xiao Maolin Xiong Tao Deng Xiaohong Wang Jinzhong Tong Wei Chen Gaoliang Tang Mengxi |
| author_facet | Xiao Xiao Xiao Maolin Xiong Tao Deng Xiaohong Wang Jinzhong Tong Wei Chen Gaoliang Tang Mengxi |
| author_sort | Xiao Xiao |
| collection | DOAJ |
| description | Objective To compare the efficacy and safety of 1470-nm diode laser enucleation of the prostate (DiLEP) with that of plasmakinetic resection of the prostate (PKRP) in treating patients with large benign prostatic hyperplasia (BPH > 80ml).Methods The clinical data from 211 cases of BPH (>80 ml) were collected for analysis. The patients were divided into two groups: the PKRP group (n = 118) and the DiLEP group (n = 93), based on the surgical method used.Result The DiLEP group demonstrated significantly lower surgical time (p < 0.001), intraoperative bleeding (p < 0.001), bladder flushing time (p = 0.003), indwelling catheter time (p < 0.005), and length of hospital stay (p = 0.018) compared to the PKRP group. However, the quality of the prostatectomy was significantly higher in the DiLEP group (p = 0.005). The Qmax for the DiLEP group was significantly higher than that of the PKRP group (p < 0.05). Compared to the PKRP group, the incidence of urinary incontinence in the DiLEP group increased significantly 4 weeks post-surgery (p = 0.026), although the need for blood transfusion during surgery was significantly reduced (p = 0.037).Conclusion Both DiLEP and PKRP are safe and effective methods for treating large-volume BPH. However, DiLEP offers advantages such as more thorough glandular resection, shorter surgical time, reduced bleeding, quicker recovery, and fewer complications. |
| format | Article |
| id | doaj-art-e136eb48327c4dfd9b2d174f086a6b15 |
| institution | DOAJ |
| issn | 1368-5538 1473-0790 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | The Aging Male |
| spelling | doaj-art-e136eb48327c4dfd9b2d174f086a6b152025-08-20T02:50:56ZengTaylor & Francis GroupThe Aging Male1368-55381473-07902024-12-0127110.1080/13685538.2023.2257307Comparative analysis of the safety and efficacy of 1470-nm diode laser enucleation of the prostate and plasmakinetic resection of prostate in the treatment of large volume benign prostatic hyperplasia (>80 ml)Xiao Xiao0Xiao Maolin1Xiong Tao2Deng Xiaohong3Wang Jinzhong4Tong Wei5Chen Gaoliang6Tang Mengxi7Department of Urology, Chongqing General Hospital, Chongqing, ChinaDepartment of Urology, Chongqing General Hospital, Chongqing, ChinaDepartment of Urology, The People’s Hospital of Rongchang District, Chongqing, ChinaDepartment of Urology, Chongqing General Hospital, Chongqing, ChinaDepartment of Urology, Chongqing General Hospital, Chongqing, ChinaDepartment of Urology, Chongqing General Hospital, Chongqing, ChinaDepartment of Urology, Chongqing General Hospital, Chongqing, ChinaDepartment of Urology, The People’s Hospital of Rongchang District, Chongqing, ChinaObjective To compare the efficacy and safety of 1470-nm diode laser enucleation of the prostate (DiLEP) with that of plasmakinetic resection of the prostate (PKRP) in treating patients with large benign prostatic hyperplasia (BPH > 80ml).Methods The clinical data from 211 cases of BPH (>80 ml) were collected for analysis. The patients were divided into two groups: the PKRP group (n = 118) and the DiLEP group (n = 93), based on the surgical method used.Result The DiLEP group demonstrated significantly lower surgical time (p < 0.001), intraoperative bleeding (p < 0.001), bladder flushing time (p = 0.003), indwelling catheter time (p < 0.005), and length of hospital stay (p = 0.018) compared to the PKRP group. However, the quality of the prostatectomy was significantly higher in the DiLEP group (p = 0.005). The Qmax for the DiLEP group was significantly higher than that of the PKRP group (p < 0.05). Compared to the PKRP group, the incidence of urinary incontinence in the DiLEP group increased significantly 4 weeks post-surgery (p = 0.026), although the need for blood transfusion during surgery was significantly reduced (p = 0.037).Conclusion Both DiLEP and PKRP are safe and effective methods for treating large-volume BPH. However, DiLEP offers advantages such as more thorough glandular resection, shorter surgical time, reduced bleeding, quicker recovery, and fewer complications.https://www.tandfonline.com/doi/10.1080/13685538.2023.2257307Prostate hyperplasia1470-nm semiconductor laserPKRPcomplicationssafety |
| spellingShingle | Xiao Xiao Xiao Maolin Xiong Tao Deng Xiaohong Wang Jinzhong Tong Wei Chen Gaoliang Tang Mengxi Comparative analysis of the safety and efficacy of 1470-nm diode laser enucleation of the prostate and plasmakinetic resection of prostate in the treatment of large volume benign prostatic hyperplasia (>80 ml) The Aging Male Prostate hyperplasia 1470-nm semiconductor laser PKRP complications safety |
| title | Comparative analysis of the safety and efficacy of 1470-nm diode laser enucleation of the prostate and plasmakinetic resection of prostate in the treatment of large volume benign prostatic hyperplasia (>80 ml) |
| title_full | Comparative analysis of the safety and efficacy of 1470-nm diode laser enucleation of the prostate and plasmakinetic resection of prostate in the treatment of large volume benign prostatic hyperplasia (>80 ml) |
| title_fullStr | Comparative analysis of the safety and efficacy of 1470-nm diode laser enucleation of the prostate and plasmakinetic resection of prostate in the treatment of large volume benign prostatic hyperplasia (>80 ml) |
| title_full_unstemmed | Comparative analysis of the safety and efficacy of 1470-nm diode laser enucleation of the prostate and plasmakinetic resection of prostate in the treatment of large volume benign prostatic hyperplasia (>80 ml) |
| title_short | Comparative analysis of the safety and efficacy of 1470-nm diode laser enucleation of the prostate and plasmakinetic resection of prostate in the treatment of large volume benign prostatic hyperplasia (>80 ml) |
| title_sort | comparative analysis of the safety and efficacy of 1470 nm diode laser enucleation of the prostate and plasmakinetic resection of prostate in the treatment of large volume benign prostatic hyperplasia 80 ml |
| topic | Prostate hyperplasia 1470-nm semiconductor laser PKRP complications safety |
| url | https://www.tandfonline.com/doi/10.1080/13685538.2023.2257307 |
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